Walnut Cove Health And Rehabilitation Center - Walnut Cove Nursing Home
General Information
UPDATEFederal Provider Number
345089
Provider Name
WALNUT COVE HEALTH AND REHABILITATION CENTER
Provider Address
511 WINDMILL STREET
WALNUT COVE, NC 27052
WALNUT COVE, NC 27052
Provider Phone Number
(336) 591-4353
Provider SSA County
840
Provider County Name
Stokes
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WALNUT COVE HEALTHCARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1974-05-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.97289
Reported LPN Staffing Hours per Resident per Day
1.01807
Reported RN Staffing Hours per Resident per Day
0.53253
Reported Licensed Staffing Hours per Resident per Day
1.55060
Reported Total Nurse Staffing Hours per Resident per Day
3.52349
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08675
Expected CNA Staffing Hours per Resident per Day
2.52027
Expected LPN Staffing Hours per Resident per Day
0.66617
Expected RN Staffing Hours per Resident per Day
1.15571
Expected Total Nurse Staffing Hours per Resident per Day
4.34216
Adjusted CNA Staffing Hours per Resident per Day
1.92078
Adjusted LPN Staffing Hours per Resident per Day
1.26844
Adjusted RN Staffing Hours per Resident per Day
0.34430
Adjusted Total Nurse Staffing Hours per Resident per Day
3.27092
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-01-16
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-11-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-08-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
22.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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